NPI | 1134381270 |
---|---|
Entity Type | Organization |
Authorized Contact | NAZY HACKER Office Manager 301-330-3222 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 12149) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |